Magnifying endoscopy is superior at detecting easy-missed neoplastic lesions on the upper gastrointestinal tract

Jin, Bo; Jin, Xiaoliang; Huang, Liang; Zhang, Chunli; Lü, Bin

doi:10.1007/s00464-023-09991-y

Surg Endosc

2023

DOI: 10.1007/s00464-023-09991-y

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Magnifying endoscopy is superior at detecting easy-missed neoplastic lesions on the upper gastrointestinal tract

Bo Jin

Xiaoliang Jin

Liang Huang

et al.

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2024

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Ability of detection in different resolution endoscopy for upper gastrointestinal mucosal lesions

Jin,

Zhou,

Lyu

et al. 2024

Surg Endosc

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Background Most endoscopists believe that higher resolution improves lesion detection rates. However, existing studies primarily compared the detection rates of white light endoscopy (WLE) and other imaging modalities. Our previous study demonstrated the advantages of magnifying endoscopy from general endoscopy for lesion detection, prompting further investigation into the variations in lesion detection rates across endoscopes with different resolutions. Methods Endoscopic and corresponding pathological data from our medical unit over the past 5 years were analyzed. We excluded specific-purpose endoscopic procedures to ensure the natural randomization of the data. Baseline adjustment and risk factor analyses used multi-group propensity score matching and logistic regression. Results The overall lesion detection rate was significantly higher with high-quality endoscopy (Q-endoscopy) compared to high-definition endoscopy (H-endoscopy) and high definition and quality endoscopy (HQ-endoscopy) (34.4% vs. 30.2% vs. 29.6%, P = 0.001). Similar results were observed for elevated lesions (25.7% vs. 21.0% vs. 22.9%, P = 0.001) and depressed lesions (6.6% vs. 6.2% vs. 3.6%, P < 0.001). HQ-endoscopy had a superior detection rate for superficial lesions compared to both H- and Q-endoscopies (3.0% vs. 2.8% vs. 1.8%, P = 0.041). However, there were no significant differences in neoplastic detection rate or missed neoplastic lesion rate among the three groups. Conclusion Q-endoscopy is superior in detecting non-superficial lesions, while HQ-endoscopy is better at detecting superficial lesions. However, there were no statistically significant differences in detecting or omitting neoplastic lesions among the three endoscopic examinations.

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Ability of detection in different resolution endoscopy for upper gastrointestinal mucosal lesions

Jin,

Zhou,

Lyu

et al. 2024

Surg Endosc

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Magnifying endoscopy is superior at detecting easy-missed neoplastic lesions on the upper gastrointestinal tract

Cited by 1 publication

References 24 publications

Ability of detection in different resolution endoscopy for upper gastrointestinal mucosal lesions

Ability of detection in different resolution endoscopy for upper gastrointestinal mucosal lesions

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